Shear wave elastography to evaluate the effect of hemoperfusion on carotid artery e-lasticity in uremic patients undergoing hemodialysis
10.20039/j.cnki.1007-3949.2025.09.008
- VernacularTitle:剪切波弹性成像评估血液灌流对尿毒症血液透析患者颈动脉弹性的影响
- Author:
Xi YANG
1
;
Yifan WANG
1
;
Le MA
1
;
Xu WANG
1
;
Xinyu WANG
1
;
Xuemeihui MA
1
;
Yuanyuan LIU
1
;
Guangsen LI
1
Author Information
1. 大连医科大学附属第二医院超声科,辽宁省大连市 116027
- Publication Type:Journal Article
- Keywords:
shear wave elastography;
uremia;
hemodialysis;
hemoperfusion;
carotid artery elasticity
- From:
Chinese Journal of Arteriosclerosis
2025;33(9):795-802
- CountryChina
- Language:Chinese
-
Abstract:
Aim To evaluate the effect of hemoperfusion on carotid artery elasticity in patients undergoing hemo-dialysis using shear wave elastography(SWE).Methods Seventy-eight patients with uremia were included,and di-vided into two groups based on dialysis regimen:hemodialysis alone group and hemodialysis combined with hemoperfusion group,while 40 healthy subjects were selected as control group.Then general information,clinical data and biochemical indices were collected.The carotid intima-media thickness(IMT),carotid artery inner diameter at the end of systole(Ds),the carotid artery inner diameter at the end of diastole(Dd)and the peak systolic flow velocity(PSV)were meas-ured by conventional ultrasound.The degree of arterial wall motion(△D)and arterial stiffness coefficient(β)were cal-culated.Elasticity of intima-medial layer in the anterior carotid artery was measured by SWE,including the maximum modulus of elasticity(MEmax),mean modulus of elasticity(M Emean),minimum modulus of elasticity(MEmin).Re-sults There were no statistically significant differences in Ds,Dd,△D and PSV among the three groups(all P＞0.05).Compared with control group,the IMT,β,SWE parameters were significantly increased in the hemodialysis combined with hemoperfusion group and the hemodialysis alone group.Compared with hemodialysis alone group,the SWE parameters were significantly decreased in the hemodialysis combined with hemoperfusion group(P＜0.05),while there were no statis-tically significant differences in IMT and β(both P＞0.05).In the three groups,SWE parameters were positively correla-ted with IMT,β and LDLC(r＞0.37,all P＜0.01)and negatively correlated with HDLC(|r|＞0.24,all P＜0.05).The areas under the ROC curves of the SWE parameters were all higher than those of the conventional ultrasound parameters(all P＜0.05).Conclusion SWE can effectively assess the effect of hemoperfusion on the elasticity of carotid arteries in uremic patients undergoing hemodialysis.
